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ClaraRedheart BSN, RN

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Reputation Activity by ClaraRedheart

Reactions Given

Like 7

Reactions Received

Like 5

  1. Like
    ClaraRedheart, BSN, RN got a reaction from brandy1017 in Safe staffing vent   
    Maybe with they could get rid of the genius that thinks up the expensive frou frou and use the extra money from his salary and the nonsense aesthetics to hire another nurse. That would be cool. Will never happen though until safe staffing ratios are mandated by law. 
  2. Like
    ClaraRedheart, BSN, RN got a reaction from brandy1017 in Safe staffing vent   
    Maybe with they could get rid of the genius that thinks up the expensive frou frou and use the extra money from his salary and the nonsense aesthetics to hire another nurse. That would be cool. Will never happen though until safe staffing ratios are mandated by law. 
  3. Like
    ClaraRedheart, BSN, RN got a reaction from brandy1017 in Safe staffing vent   
    Maybe with they could get rid of the genius that thinks up the expensive frou frou and use the extra money from his salary and the nonsense aesthetics to hire another nurse. That would be cool. Will never happen though until safe staffing ratios are mandated by law. 
  4. Like
    ClaraRedheart, BSN, RN got a reaction from brandy1017 in Safe staffing vent   
    Maybe with they could get rid of the genius that thinks up the expensive frou frou and use the extra money from his salary and the nonsense aesthetics to hire another nurse. That would be cool. Will never happen though until safe staffing ratios are mandated by law. 
  5. Like
    ClaraRedheart, BSN, RN got a reaction from brandy1017 in Safe staffing vent   
    Maybe with they could get rid of the genius that thinks up the expensive frou frou and use the extra money from his salary and the nonsense aesthetics to hire another nurse. That would be cool. Will never happen though until safe staffing ratios are mandated by law. 
  6. Like
    ClaraRedheart, BSN, RN reacted to Jedrnurse, BSN, RN in Safe staffing vent   
    Maybe Alexa could be programmed to murmur a constant stream of Press-Ganey positive terms and brainwash the patients into giving y'all outstanding survey scores...🤪
  7. Like
    ClaraRedheart, BSN, RN reacted to Sassy-RN in Nights vs. Days   
    No! I've had way more horrible shifts on over nights then on Days.
    Mostly because you don't have as many resources.
    Also sweet little old people with dementia turn into gremlins after midnight!
  8. Like
    ClaraRedheart, BSN, RN reacted to vampiregirl, BSN in Repositioning end stage of life hospice pts   
    This is one of those topics for which there are several different perspectives. Also, it comes down to what is best for an individual patient and their unique circumstances.
    In most cases I find the benefits of repositioning outweigh the burdens. It promotes skin integrity, allows for assessment of incontinence and in most cases promotes patient comfort. Certain positions also help with secretion management (in the realm of comfort). 
    Patient assessment and symptom management are considerations prior to repositioning. Patient communication is also important - even if they are not responding to caregivers. Smooth/ well coordinated repositioning makes a huge difference in patient comfort. Draw sheets can be very helpful, as can having adequate pillows to support the patient in a new position. Ensuring a patient is positioned properly (good alignment) and reassessing comfort after repositioning is also important.
     
     
  9. Like
    ClaraRedheart, BSN, RN reacted to vampiregirl, BSN in 23 Employees on Leave from Ohio Hospital after giving Excessive Pain medication   
    Management of pain and dyspnea can be tricky at end of life. Having worked inpatient hospice I've cared for some patients that have required much larger than typically normal doses of opioids for symptom management.
    Patient assessment and monitoring is critical when administering any medication. "Larger" doses should be titrated up slowly to assess what dose a patient needs for effective symptom management. Monitoring of respiratory status should be frequent/ ongoing and other considerations (level of responsiveness, pupil response) also assessed frequently. With palliative and hospice patients, the goal should always be to control symptoms with the minimum amount of medication necessary to control symptoms. 
    As I nurse, I'm always acutely aware that I am responsible for any medications I'm administering. If I have concerns, I collaborate with a provider prior to administering the medication. I was very familiar with the meds I was administering and have had fairly extensive education about symptom control at end of life. I don't know anything about the nurses who administered the meds in question - so I don't know about the education and experience of the nurses involved. This could definitely be a factor in this story. 
    Another consideration is that patients approaching end of life can occasionally have rapid changes in condition (such as death) that are unrelated to meds having been administered. However, the number of patients involved in the article certainly concerns me.
    I guess what I'm trying to say is that we simply don't have enough information to draw any conclusions. My heart goes out to all those involved though - the staff and the family/ friends of those patients. I can't even imagine what it would be like to have a loved one die of what was originally thought of as a terminal process but then questions arise as to whether the timeline had been manipulated by someone providing orders and/or care. 
  10. Like
    ClaraRedheart, BSN, RN reacted to Wuzzie in 23 Employees on Leave from Ohio Hospital after giving Excessive Pain medication   
    2000 mcg of Fentanyl is not comfort care. 
  11. Like
    ClaraRedheart, BSN, RN reacted to Wuzzie in Why aren't RN's payed as much as doctors?   
    Nope. I don’t have their education or their responsibility. 
  12. Like
    ClaraRedheart, BSN, RN reacted to Ruby Vee, BSN in Is it a bad idea to return to the hospital?   
    As far as I'm concerned, the hospital is the best place to be!  Yes, you might have to start on night shift, but night shift is doable, even in your sixties.  (Ask me how I know this.)  Turnover is much faster now than it used to be with new nurses staying only a year or less -- you might get to day shift, if you really want to, faster than you think.  There is always something new to learn, and it never gets dull or boring.  The pay is better, and 12 hour shifts are awesome!
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